Generic Name: Valproic acid Trade Name: Depakene Available Stock: syrup 250mg/5ml Route of Administration: oral Dosage: 10-15mg/kg/day Drug Class Mode of Indications/ Adverse Drug Nursing Considerations Health Teachings Action Contraindic. Reactions Interactions Anti - Increase Indications: Asthenia, Alcohol - ↑CNS *to minimize GI irritation- *take with food or after convulsant GABA levels For treatment of headache, Depression intiate at lower dose, give meals to minimize GI In brain Simple or somnolence, Cimetidine - with food upset complex dizziness, ↑pharmacologic *to minimize CNS *take only as directed and Absence tremor, effects depression, give at do not stop abruptly seizures insomnia bedtime Mimic or Contra CNS: Penobarbital - *reduce starting dose in * do not drive until drug Enhance -indications: Hyperammo- ↑effects and geriatric patients effects are realized. Inhibitory Liver disease or nemic toxicity of * avoid alcolhol, CNS effect of Dysfunction encephalopathy phenobarbital depressants GABA Urea cycle *report for periodic cbc, disorders serume glucose, and liver Lactationa function tests Acute *do not take if pregnant pancreatitis Hematologic: hemorrhage Arthralgia Stevens Johnson syndrome Prepared by: AMR Morelos, MD